Professional Providers: Clinical auditing tool ClaimsXten™ to be deployed for FEP Bridge claims on Sept. 23
September 12, 2017 -
On Sept. 23, we will begin the process of moving from our current clinical auditing tool, ClaimCheck™ to an enhanced tool, ClaimsXten, which will allow us to manage unique requirements of our claims processing platforms.
FEP Bridge will be the first claims processing platform to have the tool deployed. It will be deployed on other platforms over the next year.
What does this mean for you?
Since ClaimsXten will be deployed to our systems over time, you may notice different outcomes for similar claims in the coming year, depending on which claims platform the patient's policy operates on. Please note: There will be no change to your process for submitting claims or to CareFirst Medical Policy as a result of this implementation. This only affects Professional providers at this time.
Questions? Please contact Provider Service at 877-228-7268.
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